The British journal of surgery
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This study evaluated the impact of lymph node-related factors on the risk of and site of recurrence in patients who had papillary thyroid carcinoma with lymph node metastasis in the lateral compartment (classified as pN1b). ⋯ Lymph node-related factors are of importance for the risk of recurrence in patients with classical papillary thyroid carcinoma classified as pN1b.
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Randomized Controlled Trial Multicenter Study
Quality of life from a randomized trial of open and endovascular repair for abdominal aortic aneurysm.
Long-term survival is similar after open or endovascular repair of abdominal aortic aneurysm. Few data exist on the effect of either procedure on long-term health-related quality of life (HRQoL) and health status. ⋯ In this study EVAR appeared to be associated with less severe disruption to HRQoL and health status in the short term. However, during longer-term follow-up to 5 years, patients receiving open repair appeared to have improved quality of life and health status.
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Multicenter Study Observational Study
Multicentre observational study of outcomes after drainage of acute perianal abscess.
Management of perianal abscesses has remained largely unchanged for over 50 years. The evidence for postoperative wound packing is limited and may expose patients to painful procedures with no clinical benefit and at considerable increased cost. ⋯ Recurrent abscess is rare and fistula occurs in one-quarter of the patients. Packing is painful and costly.
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Multicenter Study
Single-stage resection and microwave ablation for bilobar colorectal liver metastases.
Patients undergoing liver resection combined with microwave ablation (MWA) for bilobar colorectal metastasis may have similar overall survival to patients who undergo two-stage hepatectomy, but with less morbidity. ⋯ Single-stage hepatectomy and MWA resulted in survival similar to that following two-stage hepatectomy, with less overall morbidity.
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The aim was to evaluate the applicability of laparoscopic surgery in the treatment of primary rectal cancer in a training unit. ⋯ Supervised trainees can perform routine laparoscopic rectal cancer resection.